ACO NAME AND LOCATION

agilon health Mid-Atlantic ACO, Inc.
d/b/a Senior Health Connect ACO 5
6210 E. Highway 290, STE 450
Austin, TX 78723

ACO PRIMARY CONTACT

Eric Becker, ACO Executive
[email protected]
562-256-3800

ACO HOURS OF OPERATION

11 am – 8 pm EST

PARTICIPANTS AND PREFERRED PROVIDERS

There are no joint ventures between Senior Health Connect ACO 5 and any of its Participating Providers or Preferred Providers and Facilities.

• PARTICIPATING PROVIDERS
• PREFERRED PROVIDERS AND FACILITIES

CLINICAL AND ADMINISTRATIVE LEADERS

• ACO Executive: Eric Becker, agilon health
• ACO Head of Operations: Quenyona Patterson, agilon health
• Chief Compliance Officer: Kimberly Busenbark, Wilems Resource Group
• Chief Technology Officer: Girish Venkatachaliah, agilon health
• Finance Director: Kenny Bellendir, agilon health
• Chief Legal Officer: Denise Zamore, agilon health
• Quality Improvement Leader: Adina Guthrie, agilon health
• Medical Director: Michael Daley, MD, Pinehurst Medical Clinic

GOVERNING BODY

• Michael Daley, MD, Chair & Medical Director, Voting Member, Pinehurst Medical Clinic, 25%
• Jennifer Szurgot, MD, Voting Member, Pinehurst Medical Clinic, 25%
• Brandon Enfinger, Voting Member, Pinehurst Medical Clinic, 25%
• Ravi Sachdev, Voting Member, Partner of Clayton, Dubilier & Rice, 5%
• Karthik Rao, MD, Voting Member, Senior Medical Director of agilon health, 5%
• Kenny Bellendir, Voting Member, SVP Finance of agilon health, 5%
• George Little, Consumer Advocate, Voting Member, Self-employed, 5%
• Bill Murphy, Medicare Beneficiary, Voting Member, Retired, 5%

SHARED SAVINGS AND LOSSES RESULTS

AMOUNT OF SHARED SAVINGS/LOSSES:

• First Agreement Period
  • Performance Year 2022: $14,088,922.23

SHARED SAVINGS DISTRIBUTION:

• First Agreement Period
  • Performance Year 2022
    • Portion of Shared Savings invested in infrastructure, redesigned care processes, and other resources necessary to improve outcomes and reduce Medicare costs for Beneficiaries: 45%
    • Portion of Shared Savings Distribution of Participant Providers and Preferred Providers: 55%

QUALITY PERFORMANCE RESULTS

2022 QUALITY PERFORMANCE RESULTS:

Quality performance results are based on Medicare claims submitted for items and services furnished to ACO Beneficiaries.

• Overall Quality Score: 100%
• Risk-Standardized, All-Condition Readmission Rate (ACR): 14.88
• Risk-Standardized, All-Caused Unplanned Admissions for Patients with Multiple Chronic Conditions (UAMCC): 31.68
• Timely Follow-Up After Acute Exacerbations of Chronic Conditions (TFU): 76.10

CAHPS for ACO Survey Measures	Reported Performance  Rate	Current Year Mean Performance Rate (REACH ACOs)
Getting Timely Appts, Care, & Information	87.65	81.97
How Well Providers Communicate	94.96	93.10
Care Coordination	88.56	84.70
Shared Decision Making	62.37	61.56
Patient Rating for Provider	93.19	91.74
Courteous & Helpful Office Staff	94.60	91.10
Health Promotion & Education	58.84	61.84
Stewardship of Patient Resources	26.27	24.96

For previous years’ Financial and Quality Performance Results, please visit: data.cms.gov.

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